Organization
CAROLINA NEURO SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTORIA RENE SAMUELS M.D. (CEO)
(803) 926-1515
Entity
Organization
Contact information
Practice address
109 MIDLANDS CT STE A, WEST COLUMBIA, SC 29169-3456
(803) 926-1515
(803) 926-3740
Mailing address
109 MIDLANDS CT STE A, WEST COLUMBIA, SC 29169-3456
(803) 926-1515
(803) 926-3740
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
14997
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GPO637
—
SC
Enumeration date
11/07/2006
Last updated
01/30/2008
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